Individual
BLAKE PIERCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT
Contact information
Practice address
1815 E LAKE MEAD BLVD STE 314, NORTH LAS VEGAS, NV 89030-7193
(702) 209-2879
Mailing address
7906 SHELTER ISLAND WAY, LAS VEGAS, NV 89145-5948
(702) 677-4031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2585
NV
225XP0019X
Physical Rehabilitation Occupational Therapist
OT-2585
NV
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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